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0014 PLANT ROAD
J I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Olt Permit# 1i5E) 4 Health Division. ,, �. Date Issued 3, rr � / Conservation Division / , ` ��Z /� Fee Tax Collector Cq n D Ll fipp fee e QD Treasurer 1 D K r] Planning Dept. Checke6ACOP - Date Definitive Plan Approved by Planning Board Approvecy " `; r 3ACMV NT Historic-OKH Preservation/Hyannis Project Street Address NY14- E- 17_3 b. Village tC.+hn 15 Owner !I'Q- Address Telephone Permit Request rf- kvxa bw r� Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new k` Valua % 4S000•GCS Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of.Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count I Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# - -Current Use - - = Proposed Use BUILDER INFORMATION c; Name d 6ct ke—C Telephone Number Address I�D boll, l? 9 License# (3q3(0r/.(o I)AXS 0A (g:2 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE on--Z_7_ C) !E;, • FOR OFFICIAL USE ONLY ,1 P PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION- FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i Town of Barnstable °^ Regulatory Services vMAM � Thomas T.Geiler,Director �'0lpp 39. � Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:. 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L L �� ���S —JrL . ,as Owner of the subject property hereby authorize KPI&We" '1&CL'k'e-C to act on my behalf, in all matters relative to work authorized by this building permit application for. LA PV4 v1 `( S (Address ofYob) Sign o Own r Date Print Name QTORMS:OWNER.PERMISSION ,per The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: ��) � rlY��l� Y1� GZ. qo Phone#• -56 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees full and/or part-time).* have hired the sub-contractors ( p ) 7. Remodeling 2.r I am a sole proprietor or partner- listed on the attached sheet. t ❑ ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. [1 We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#f 1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy inforination. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby celwfvunder the pains and enalties of perjury that the information provided above is true and correct: Signature: Phone It. �5_1`l Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# .Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would Ile to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia ! I 1 I r r -_ ! 77 it it , I _ -, } , I i I , 1 1 fie -�jamvrreoouuea�i BOARD OF BUILDING , MULt IONS License: CONSTRUCTION SUPERVISOR 073676 I RumtiIxa, f 1 .. 16 w , i E.M'; Y a 404 MAIiN ST SOUTH pENNI`S, MA commissioner o a A I a e r .�i iw� _ �•�„ �,« �-.-,� y''3r...;:�. �•g��.�•,4 Sr� ��E p3'3w..-� -. ..'�%� 'Q ,.�a���c#a:., � - .. _, -77 a pIO ,.".. � •�?' .,�� ^, � E�: .� n✓= ,� as � - RM Owl rl �y f v.`4 -. r'_s,..�.:max•: �' ��, y" e a. a' f t I H x � � �I I _ � '`ram,- � �' l � •, 5 .� Ww ,�! n 717 x j w f r� u e TOWN OF BARNSTABLE I SIGN PERMIT I PARCEL ID 312- 018 GEOBASE ID 23108 I ADDRESS 14 PLANT ROAD PHONE j HYANNIS ZIP - LOT 9 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 53070 DESCRIPTION CHARLIE S MUSIC/4'X8' ,20"X36" PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $60.00 BOND INE .00 CONSTRUCTION COSTS $.00 I 753 MISC. NOT CODED ELSEWHERE • * HARNSPABLE. +' q MAS& 039. A�O� BUILD . DIVIS N B DATE ISSUED 05/01/2001 EXPIRATION DATE �\' � V ��\\\� � j � , � 1 ' o � b\J � � �� � �� � � � �� �� Regulatory Services Q" Thomas F.Geder,Director 9 M g Building Division tbs9- �;►��� Elbert C Ulshoeffer,Jr._Building Commissioner 367 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Tax Collector 4 Treasurer 101 7t�t!+-(a �C� E 41, Application for Sign Permit Applicant: t E i y Assessors No._ Doing Business As: Telephone No. ' -?-r 1 - Z Sign Location Streei/Road: AUFS i Zonin District:_Old Kings Highway? Yes 10 Hyannis Historic District? Ye g Property Owner Name: C��4ip �4.y tS (Lee) Telephone: e Address: Village: Sign Contractor N /�'O i/ Telephone: Name: !V ff'I` �s Address:— Village: N/l/1�✓ Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yelt J (Note:If yes, a wirinSPermit is required) application, that I hereby certify that I am the owner or that I have the authority of the owner to make this the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. , Date: ' Signature of Owner/Authorized Ag 1`00 Size: �X g��� - Pyx Permit Fee- ✓V t�V� - Sign Permit was approve Disapproved: Signature of Building O Date: Signl.doc S rer.8/31/98 r PV 'y'l z M AAll ly t� }r r ' ` ► �` i i M I - it '� _ r �y � fF /�` ►/% r/jam �f I;�� �' �i i F- f ' / �a i 1 I v s fr- oll 10, : ~- � now �a \ G r / 1 � � I - .t5, !f r �' 1'1�' t r a p Y. ` P © ELECTRIC' (o —GUI--. i IL p J tt Y t' t -ate• .:I r ,TOWN OF BARNSTABLE Permit No. _________ 28042 NUAM Building Inspector Cash ---------- — OCCUPANCY PERMIT Bond Issued to George L. Upton Address lot #9 14 Plant Road, Hyannis € , Wiring Inspector � � ` " / Inspection date Plumbing Insp ctdr Inspection date Gas Inspector ��_ ,�•,e_ ` P_ ,►.Ya. Inspection date Engineering Department ; s J `• , �� f�f f Inspection date ;` R Board of health ` �,� Inspection date' �—�• � � THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN a REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ...................................................... 19& 10- Building Inspector 1 - - ` .. - 1 . ., -.. `- . - � ' .w- '1 � l -. .• � ..{, _may... ..s . - R.s wn fit.,..•Y^o•�.' t ♦t, •'fy��•: TOWN ' OF BARNSTABLE BUILDING DEPARTMENT _ �ARIWAIMTOWN OFFICE BUILDING MUL HYANNIS, MASS. 02601 -r • MEMO TO: Town Clerk t FROM: Building Department DATE: .,,An Occupancy Permit has been issued for the building authorized by Building Permit $�.: 5� `:..!��✓ *................................ .. .....» .............. .»...... . ......_ _.. ...... . AIX ��'�:�-::-................•....... ` ;`,,.......� ' issued to ................................._.. _. ............................._.__._ Please release the performance bond. CO NCI �� G`�l (z� 2 jZI "."",,000000, V /VoTE AN ASSesE'a ti \ /980 7f/ + . f l,.eAc..H (-�ITS � a P,02opo 3 ED tl LoTte h N E�tS!7N G Gh P©Q PO©m �ti $ o S zo Do vdw@�f JAW S ar°? ►%RD �� I - 7 7 /7 a KELELEY f� No.26100 ci 9�'D/STEa�`� Gdc�s sr scs, ,�%ram,• S �v CERTIFIED PLOT PLAN LOCATION e'99"sr�.G. . SCALE . . . . _ . . DATE P$C PLAN REFERENCE -?eYq. . .�T. y. . . 1�0 .r—CoGuS .SNoWo/ ONBooK ?7� i32 . . . . . . . . CERTIFY THAT THEX/ST7.�/G SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SMACK REQUIREMENTS OF THE TOWN OF A4.1?*t.��?�G41. . WHEN CONSTRUCTED. DATE . ?a�g. ToNsv sTHivL� w PETITIONER: C�aItCE i�7firy �/ REGISTERED LAND SURVE R i• k L. .-34 o a. . .. ... . TOP OF FOUNDATION T e CONCRETE COVER CONCRETE COVERS 4 CAST IRON 2"OR SCHEDULE 4 MAX. 12"MAX. AM P.V.C. PIPE 4 SCHEDULE 40 P.V.C.(ONLY) PITCH 1/4"PER.FT. PIPE- MIN. LEACH PITCH 1/4"PER.FT. PITF3/4 T INVERT QG EL.ze'•S••• INVERT INVERT e . o'. SEPTIC TANK Z ,/Z DIST. Z 8 • w . o INVERT o BOX e' EL.. $rz�. �. . . . . .. .. GAL. INVERT ::� G' �'iL Q. •" EL$-o¢ INVERT ww a: 1/2�EL27;L/ :.• U �: Dw • I /a ' D I A.---+-i PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE .9�?7�8` ... TIME.��=3� '4'l • N . 6'/! o2d !e S. BOARD OF HEALTH TEST HOLE I TEST HOLE 2 Lph/ wez6e;? �yC_ . ENGINEER/ No DESIGN DATA : �+/IrRE/A7VSG� .SSE a 4,6410 H~ NUMBER OF BEDROOMS 7SGAt��000 s¢;/sr : •9CTo c.i?D. Wig/ TOTAL ESTIMATED FLOW ¢'o• • GALLONS/DAY BOTTOM LEACHING AREA 78S, . SQ.FT. /PIT/c.pp. SIDE LEACHING AREA . . ./BB,S • • • SQ.FT./ PIy47/G,P•D. GARBAGE DISPOSAL . M?'A/67. .(50% AREA INCREASE) TOTAL LEACHING AREA . . zG7 . . . SQ.FT /44 tZ. �7 3o PERCOLATION RATE .L�Ar .71150-1 TWO MIN/INCH LEACHING AREA PER PERCOLATION RATE �-9-q... SQ.FT�C.�D No WATER ENCOUNTERED NUMBER OF LEACHING PITS . . a^!�. ��?- j✓�??�! APPROVED . . . . . . . . BOARD OF.HEALTH ?'Wo 'T of S'n�VG6 a✓ �9zG Sites DATE . . . . . . . . . . AGENT OR INSPECTOR H OF SAS R HA , y -7 ��I.��/S $l►�`C�}�/iAJVA/fS� to C'/STf- De PETITIONER C vprdti �.To/Mi ST,dyNL�/ . Sewage Permit number ......... *4STALLED IN COP4PLIA ,, number TOWN 'OF BARNSTABLE ' . . BUILDING � N� N �� 0 �� INSPECTOR �� �� �� N� N0~0� 0 �� �� N ������ �=NmNNN �� -- _ - -_-- - -- -- - -- ~`~ ~~ ~~ ~ ~~ ~~ . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 197 Name ~' Owner '�~`~^~'/^........................0r--------'---~ r'� —' ~ ......^.'~'--~...... �o"-/77 r) Y ,�}n No of Builder ' A66 x�� '�����7 Af 14 Fireplace .................lez/.-/Q.................................................Approximate Cost ....... .......................... � Diagram of Lot and Building with ` | �* Dimensions Fee --.�5416.........SUBJECT TO APPROVAL OF .......... BOARD OF HEALTH \R» ' - OCCUPANCY PERMITS LU / � � | ^ � . � ^ � ' ' BD FOR NEW DWELLINGS hereby agree to conform to all the Rules and Regulations of the Town of Barnstable construction. Nome . ^~ ..................... [Construction Supervisor's License �. --- ............ ' - ' 3 UPTON, GEORGE L. 28042 COMMERCIAL BLDG. No. .............:.. Permit for ..................................... OFFICE BLDG. ............................................................................... Location ..L.0t..#.9.,.—.1.4...Plant..Road ad............. .. .... .. . . . . I ........... .... .... Hyannis ........... ................................................................... Owner ..George...........Up....Lton .............. .:............... ................... Fr Type of Construction .....tame...... ..................... ........................................................ Plot ............................ Lot .............................. June 17, - 85 Permit Granted ................................. Date-of Inspection ...............................19 Date 0 Completed .. ......... ............. ....... NUMBER ,.SUFF - STREET NAME MAP PARCEL 1r CARD NO. TOWN CLASS I ROUTING N( 'RO _.__ O10 /y 109 101, 113 LD1: '° JILOFDl o��l_ RECORD OF OWNERSHIP AND MAILING ADDRESS LOT NO. DEED BKJCTF DEED PG. DATE PURCHASE PRICE 2 : MEMORANDUM a S¢ o?j ACRES yy Q �2 , .CLASS CO. LIVING UNITS FI,R1"E/,OIST. ZONING MULTI NC NEIGHBORHOOD a�70. e '/ ��L�vA7-t 7�ZOC7 103� 103 O O q 108 J-_ 1 - 105 a'�I V 9 DELETE 300.330 LAND DATA& TIONS (� SALES DATA 0 NONE ACTUAL EFFECTIVE EFFECTIVE ACTUAL UNIT PRICE DEPTH EFFECTIVE N FRONTAGE FRONTAGE DEPTH FACTOR UNIT PRICE INFLUENCE FACTOR LAND VALUE I MO YR TYPE AMOUNT SOURCE VALID ° OI LOT L ---• - - - - - -- -i- - - - - r 7, _% r 200 Gy -p i REGULAR LOT L —•— - _ .-" — — — --1— — --� — — - 2 MINUS LOT l 201 3 APARTMENT SITE L - --•— --- --- --I— _— -- -- t 4 WATERFRONT r , as 202 Ot L —_—•— —_— ——— ——I— —— J —— L -- TYPE CODES VALIDITY CODES I 1 -�/ SD.FT. -- �•-- INFLUENCE FACTORS - 1 1 Land 0 Valid Sale 1 PRIMARY SITE `S -� —1— — —— 2 Land&Building 1 Involved Addn'l Parcels Z SECONDARY SITE — - —— : 1—- - 1 3 Building 2 Not Open Market 3 UNDEVELOPED $ _— _1———I—— SO.FT. —•__— 1 UNIMPROVED 3 Changed After Sale 0 RESIDUAL I 2ExCESSIVE FRONT :SOURCE CODES 4 Related Individuals or core. 12 5 WATERFRONT S _1 — ——I— — — SO.FT. ———a-- __ ,_—', 1 Buy. 5 Liquidation/Foreclowre 15 ACREAGE 3 TOPOGRAPHY F 2 sell. 6 Financing/Land Contract A - --• ACRES — --1--- 4 SHAPE OR SIZE L -`i 1 3 Agent 7 Included Excessive Pers.Prop. 1 PRIMARY SITE —— 1y— 4 Other ' or other-See Mamo -ACRES 2 SECONDARY SITE A _— _-- 1 5 ECONOMIC r -•-_ I --c--- MISIMPROVEMENT -- 1(6 ENTRANCE CODES INFO CODES 3 UNDEVELOPED �` 4 MARSHLAND A --, ----- --e—-——ACFtV" — ——,——— 6 RESTRICTIONS- —-- r ,----' -- --- 5 WATERFRONT A - - 1 — NONCONFORMING l 0 ENTRANCE 8 SIGNATURE GAINED 5 CURRENT UNOCCUPIED 1 OWNER -e--_ACRES 1 ENTRANCE GAINED 6 EST.FOR MISC.REASONS f - 7 CORNER/ALLEYfT APPLICABLE,UNIMP PARCEL (SEE MEMO) 2 TENANT 9 DESIGNATED A—— __—•__—ACRES — —1——— 8 VIEW I+) —— FOREST LAND/ — -- 3 ENTRANCE&INFO REFUSED 7 OCCUPANT NOT AT HOME 20 OPEN SPACE A ---e- --ACRES _ -- --- __ _ _ _ 4 ENTRANCE REFUSED.INFO AT DOOR OOTHER 25 0 TOTAL A -1---e-3.ZCLACRES SUMMARY OF VALUES 1 SIGNATURE BY OWNER OR AGENT BELOW INDICATES DATA ON THIS FORM WAS GROSS G_ _ - -I-_-I--_ TOTAL VALUE LAND COLLECTED IN YOUR PRESENCE,IT DOES NOT MEAN THAT YOII HAVE VERIFIED t IRREGULAR LOT -. 2 SITE VALUE THE INFORMATION HEREON. 30 3 RESIDUAL TOTAL VALUE BUILDINGS 4 HOMESITE 9 MINUS R.O.W. TOTAL VALUE LAND&BLDGS. 00 - PROPERTY FACTORS 405 LOCATION 410 PARKING AVAILABILITY TOPOGRAPHY UTILITIES STREET OR ROAD CENTRAL BUS DIST 1 TYPE.C_ QUANTITY- PROXIMITY _ LEVEL I ALL PUBLIC 1 PAVED 1 PERM CEN BUS GIST 2 0 NONE 0 NONE 0 FAR INSPECTION WITNESSED BY: 1 OFF STREET 1 MINIMUM 1 NEAR PROCESSING DATA ABOYE STREET 2 PUBLIC WATER 2 SEMIIMPROVED 2 BUSINESS CLUSTER 3 2 ON STREET 2 ADEQUATE 2 ADJACENT 3 ON&OFF STREET 3 ABUNDANT 3 ON SITE DEL - ADO CMG F/D MO DAY YR BELOW STREET 3 PUBLIC SEWER 3 UNPAVED 3 MAJOR STRIP 4 4 PARKING DECK 1 2 3 4 ROLLING 4 GAS 4 PROPOSED 4 SECONDARY STRIP 5 BUILDING PERMIT RECORD 1 2 3 4 STEEP 5 WELL 5 CURB&GUTTER 5 NEIGH or SPOT 6 DATE NUMBER PRICE PURPOSE 1 2 3 4 LOW 6 SEPTIC 6 SIDEWALK 6 MUM./IND PARK 7 - 1 2 3 4 SWAMPY 7 NONE 7 ALLEY 7 INDUSTRIAL SITE 8 - 1 2 3 4 MARSHY 8 NONE 8 1 2 3 4 - 000OLF-LAYER.TRUMBLE COMPANY 1981 BARNST BLEr MASSACHUSETTS I PRC-065 I �a Vd' �7 ��LLA Assessor's map and lot number ........................................... tHE Sewage Permit number _ Z BARESTADLE, i House number ....f... . ..........':::�: `:................................ 90 AM& 9 V, dam.. /` i -j p 039. \00 COTE 0 mo a' TOWN OF BARNSTABLE BUILDING_ INSPECTOR APPLICATION FOR PERMIT TO'................................................� -................................................................... TYPE OF CONSTRUCTION ................. ,( L._...................................................................................... ..... ............. ........./.r. (........................19.....� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following/ information: Location ..........ik( f ...... ..../�q/a.f .......C..`/� 1.. �.�.5....... ........... ...... ............................... ProposedUse ................! �.�i. ...:!.P..................................................................................................................................... Zoning District ...... ......................................Fire District ...........................................................N ... .. Name of Owner ..�1�..��. � .....L.....U�73.�.......Address ,71; `..... �� .�'!J ��......../ ...... /!' c'/NO�T1� Name of Builder �/ S' S% �1�v�Eli7.......Address � (',0/7`� ............................ _.... ...... _. ......r.......n.... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms � [' �� a � .................................................................Foundation ........................................................................ Exterior .... .. ..................................................Roofing ... ......................................................... Floors CCsd��2 -�............................................Interior �C/� ? L Fieatm�. ..........Af..................................Plumbing .....�.........��...f'..�-.F.-�......................................... Fireplace .../r.................................................Approximate. Cost .......�....f......................,.............................. Definitive Plan Approved by Planning Board ________________________________19-------- . Area ...U.0 0v..r`.1'.?.................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ' .......... ".......... ....... Construction Supervisor's License .:..:..'.............. UPION, GEORGE L. A=312-18 No .... Permit for ...gog nerc.i.al..B.ldg. ............. . .... .. .... OFFICE BYb-G. ............................................................................... Location ....;9t.Aj.....14 Plant RQ... q .................... ............. ................... ............................................ Owner ....9eorJ:VtgA................................... Type of Construction ..Fr$-Ame............................. ............................................................................... Plot ............................ Lot ................................ Permit Granted .......June...............17 ...............19 85 Date of Inspection ....................................19 Date Completed ......................................19 to gv—